At a Glance
- Tasks: Support members through their healthcare journeys and manage a varied caseload.
- Company: Healix Health, a leader in healthcare case management.
- Benefits: Competitive salary, professional development, and a chance to make a real difference.
- Other info: Dynamic role with opportunities for growth and collaboration.
- Why this job: Combine your clinical expertise with case management to help individuals navigate healthcare.
- Qualifications: Registered Nurse or Allied Health Professional with two years' experience.
The predicted salary is between 38233 - 46729 £ per year.
Are you a Registered Nurse or Allied Health Professional looking for a rewarding role where you can combine your clinical expertise with case management and member support?, At Healix Health, we're looking for a Clinical Case Manager to join our experienced team, supporting members through their healthcare journeys while ensuring access to high-quality, clinically appropriate and cost-effective care.
This is an opportunity to make a real difference by guiding individuals through treatment pathways, liaising with leading healthcare providers, and delivering exceptional customer outcomes.
Working closely with members, families, clinicians, healthcare providers, clients and internal teams, you will manage a varied caseload and play a key role in delivering a first-class healthcare funding and case management service., As a Clinical Case Manager, you will:
- Manage your own caseload, taking a proactive and member-focused approach to case management.
- Liaise with healthcare providers, consultants and treating clinicians to coordinate appropriate treatment and care.
- Monitor treatment plans and progress, ensuring care remains clinically appropriate and aligned to members' needs.
- Support discharge planning and ongoing care arrangements.
- Review healthcare costs and treatment pathways to ensure value and effective financial oversight.
- Assess treatment eligibility in line with scheme terms and conditions.
- Maintain accurate case records and documentation using our Case Management System.
- Provide support and guidance to members regarding healthcare claims and treatment options.
- Conduct Health Needs Assessments and provide wellbeing guidance, support and signposting where appropriate.
- Offer clinical expertise and advice to internal stakeholders and non-clinical teams.
- Contribute to service development, process improvement initiatives and clinical training activities.
- Registered Nurse (RN/RMN) with current professional registration and a minimum of two years' clinical experience; or
- Allied Health Professional with current HCPC registration and a minimum of two years' experience.
- Strong clinical assessment and decision‑making skills.
- Excellent communication and relationship‑building abilities.
- Ability to manage a varied workload and prioritise effectively.
- Strong attention to detail and organisational skills.
- Customer‑focused approach with a commitment to delivering excellent service.
- Good IT skills, including Microsoft Office and digital case management systems.
Desirable
- Experience within case management, healthcare funding or healthcare claims.
- Knowledge of private medical insurance and claims processes.
- Understanding of healthcare funding pathways and provider networks.
You’ll thrive in this role if you’re clinically credible, commercially aware and passionate about helping people navigate complex healthcare journeys.
You’ll enjoy building relationships, solving problems and working collaboratively to deliver outstanding outcomes for members and clients alike.
- Case Management Experience
- Good understanding and previous experience of the private medical insurance industry and claims processing
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Medical Case Manager employer: SeeMeHired
SeeMeHired is an exceptional employer in the Medway/Dartford Gravesham area, offering a supportive work culture that prioritises teamwork and professional development. As a Care Coordinator, you will benefit from comprehensive training and opportunities for growth while contributing to meaningful care services that positively impact the community. Join us to be part of a dedicated team that values your contributions and fosters a rewarding work environment.
StudySmarter Expert Advice🤫
We think this is how you could land Medical Case Manager
✨Get Involved with Local Health Initiatives
Join local community health events or volunteer for organisations like public health agencies. This not only builds your experience but also helps you network with industry professionals who might know of openings at places like SeeMeHired.
✨Tap into Professional Associations
Check out associations like the Institute of Healthcare Management. They often have job boards, networking events, and conferences that are perfect for connecting with potential employers in health sciences administration.
✨Stay Updated with Industry Trends
Follow health policy news and trends—being knowledgeable about the current landscape will not only help you in interviews but also make you stand out as a candidate. You can discuss recent developments and their implications when chatting with folks at SeeMeHired.
✨Apply Through Our Website for Better Visibility
When you find roles that excite you, especially at places like SeeMeHired, don’t forget to apply through our website. This can sometimes give you an edge by showing the employer you’re savvy and committed to finding the right fit.
We think you need these skills to ace Medical Case Manager
Some tips for your application 🫡
Highlight Your Relevant Experience:When applying for a role in health sciences administration, it's super important to spotlight any relevant experience you have in healthcare settings. Whether you've worked in a hospital, a clinic, or any related environment, make sure to detail those roles in your CV – focusing on your responsibilities and achievements that align with the job at SeeMeHired.
Showcase Your Administrative Skills:Administrative skills are key in this field, so don’t hold back! Make sure your CV reflects your proficiency in things like scheduling, data management, and compliance with health regulations. Mention specific software you’ve used, such as patient management systems, as this will demonstrate your hands-on abilities and readiness for the role at SeeMeHired.
Craft a Meaningful Cover Letter:Your cover letter should reflect your passion for the health sciences field and your eagerness to contribute to SeeMeHired. Share a bit about why you’re drawn to this sector, any impactful situations or challenges you’ve encountered, and how they’ve shaped your desire to work in health sciences administration. This personal touch can really set you apart!
Tailor Your Documents to the Job:Don't use a one-size-fits-all approach! Make sure your CV and cover letter are specifically tailored for this role. Highlight any certifications you have relevant to health administration, and ensure you clearly connect your previous roles to the skills needed for the full-time position at SeeMeHired. This way, you're showing them you’ve done your homework and are genuinely interested in being a part of their team.
How to prepare for a job interview at SeeMeHired
✨Showcase Your Administrative Skills
In health sciences administration, being organised is key. Make sure you can demonstrate your skills in managing schedules, paperwork, and data accurately. Be ready to discuss specific tools you've used, like electronic health record systems or scheduling software, and how they improved efficiency in your past experiences.
✨Know Your Regulations
Familiarity with healthcare regulations and compliance is crucial. Brush up on HIPAA, GDPR, or other relevant policies before your interview. We recommend preparing examples of how you've ensured compliance or handled sensitive information in past roles—this will show you're not just knowledgeable but also responsible.
✨Prepare for Scenario Questions
Interviews for administrative roles often involve scenario-based questions to assess your problem-solving skills. Practice responses to common situations you might face, such as dealing with a challenging patient or managing a sudden schedule change. This will not only demonstrate your ability to think on your feet but also highlight your interpersonal skills.
✨Align Your Goals with the Organisation
As a full-time candidate, employers will want to know how your long-term career goals align with their mission. Take some time to research SeeMeHired’s values and be ready to tie your passion for health sciences administration into their objectives. Demonstrating enthusiasm and career alignment can be a game-changer in this competitive field!
